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NPI 1013027077

NPI 1013027077 : SARAH KATHLEEN TASIAN MD : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1013027077
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH KATHLEEN TASIAN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    04/16/2013
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Provider Practice Location Address
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    Address Line         |    3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - HEM/ONC
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-4319
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    Country              |    US
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    Telephone            |    215-590-3535
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    Fax                  |    215-590-3992
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Provider Business Mailing Address
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    Address Line         |    100 E PENN SQ 9TH FLOOR
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19107-3323
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    Country              |    US
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    Telephone            |    267-425-9232
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    Fax                  |    267-425-9299
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    ML20008019
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    2080P0207X
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    Taxonomy Name        |    Pediatric Hematology & Oncology Physician
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    License Number       |    A100442(CALIFORNIA)
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    A100442(CALIFORNIA)
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    2080P0207X
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    Taxonomy Name        |    Pediatric Hematology & Oncology Physician
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    License Number       |    MD442530
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    License Number State |    PA
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